Qais Mohammad Wahidi, M.D

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

111390 Issued in CA

Practice address

1600 Creekside Dr
Ste 2100
Folsom, CA 95630-3447

Phone

(916) 542-7467

Fax

(916) 932-4879

NPI assigned

Aug 5, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Meena Medical Group IncGroup PAC ID 1658679873, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• American River Home Care Home health agency, Sacramento, CA, CCN 059665
• Healing Touch Home Health Care Inc Home health agency, Rancho Cordova, CA, CCN 553195
• A1 Home Health Home health agency, Fair Oaks, CA, CCN 559234
• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: qwahidi12046@hpmg.direct-ci.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Meena Medical Group, Inc

  • Primary Care Clinic/Center
  • Folsom, CA
  • NPI 1710348321

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Meena Medical Group, Inc

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1174342554

  Single Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• A Plus Healthcare, LLC

  • Home Health Agency
  • Fair Oaks, CA
  • NPI 1790339919
  Care Compare affiliation
• American River Home Care

  • Home Health Agency
  • Sacramento, CA
  • NPI 1811317811
  Care Compare affiliation
• Healing Touch Home Health Care Inc.

  • Home Health Agency
  • Rancho Cordova, CA
  • NPI 1962957720
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1699931097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DR",
            "address_2": "STE 2100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303447",
            "telephone_number": "916-542-7467",
            "fax_number": "916-932-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DR",
            "address_2": "STE 2100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303447",
            "telephone_number": "916-542-7467",
            "fax_number": "916-932-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHIDI",
        "first_name": "QAIS",
        "middle_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A111390",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "111390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VI Thuy Vu, PHARMD
• Jennifer Elizabeth Wademan, O.D.
• Justin B Wagner, M.D.
• Katrina Wagner
• Pamela H.S. Wagner, M.D.
• Sean M Wahlquist, M.D.
• Maggie Wainaina
• Walgreen Co
• Walgreen Co
• Matthew Wallace

• Primary Care Clinic/Center in Folsom, CA
• Providers in Folsom, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.